53899 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $62.73 for 53899 across 6 states, from $35.00 in Indiana to $657.13 in Montana.
- States publishing
- 6
- National median
- $62.73units vary by state
- Lowest
- $35.00Indiana
- Highest
- $657.13Montana
What does Medicaid pay for 53899?
6 state Medicaid programs publish a fee-for-service rate for 53899. The national median is $62.73 (units differ between states). Montana pays the most, $657.13, and Indiana the least, $35.00 per percent of billed charges, a 18.8x spread.
53899 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 53899?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $62.73. Montana pays the most ($657.13) and Indiana the least ($35.00 per percent of billed charges).
Which state pays the highest Medicaid rate for 53899?
Montana, at $657.13, effective 2025-07-01.
Do managed-care plans pay the same rate for 53899?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.